Answer this question truthfully
### Question: Who is at highest risk for Acute tubular necrosis ?
### Response: Acute tubular necrosis is one of the most common causes of kidney failure in hospitalized patients.
Recent major surgery Septic shock or other forms of shock Severe low blood pressure (hypotension) Injury or trauma that damages the muscles Blood transfusion reaction Kidney damage caused by diabetes (diabetic nephropathy) may make a person more susceptible to the condition.